Maria Petrolekas, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

027017 Issued in NY

Practice address

1676 Westmoreland Rd
Merrick, NY 11566-3731

Phone

(516) 640-8433

NPI assigned

Apr 15, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1104612506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 WESTMORELAND RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663731",
            "telephone_number": "516-640-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 WESTMORELAND RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663731",
            "telephone_number": "516-640-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROLEKAS",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002621",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "027017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldo Joseph Perrino, D.D.S.
• Melissa Lynn Perrino, DDS
• Sarah Peters
• Dominique Leigh Petrie, PA-C
• Demetra Petrochilos
• Mary Louise Pettiweber, OTR
• Philip J. Cilio DC Lac PLLC
• Bini Philip
• Joan Catherine Phillips
• Stacy L Phillips, PH.D.

• Psychologist in Merrick, NY
• Providers in Merrick, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.